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The sclerotic pedicle — how many causes are there?

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Abstract

The sclerotic pedicle is a commonly encountered roentgen sign that may be associated with numerous conditions, both benign and malignant. The following paper discusses the common as well as the unusual causes of this interesting phenomenon and demonstrates the radiographic presentations of the various etiologies.

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References

  1. Albers VL (1984) Congenital absence of a lumbar pedicle with sclerosis and hypertrophy of the contralateral pedicle. ACA J Chiro 4:84

    Google Scholar 

  2. Bardsley JL, Hanelin LG (1971) The unilateral hypoplastic lumbar pedicle. Radiology 101:315

    Google Scholar 

  3. Bell D, Cockshott WP (1971) Tuberculosis of the vertebral pedicles. Radiology 99:43

    Google Scholar 

  4. Caldicott WH (1969) Diagnosis of spinal osteoid osteoma. Radiology 92:1192

    Google Scholar 

  5. Dahlin DC, Unni KK (1986) Bone tumors. Charles Thomas, Springfield, p 88

    Google Scholar 

  6. Degesys GE, Miller GA, Newman GE, Cohan RH (1986) Absence of a pedicle in the spine: metastatic disease versus aplasia. Spine 11:76

    Google Scholar 

  7. Dickson DD, Camp JD, Ghormley RK (1945) Osteitis deformans: Paget's disease of the bone. Radiology 44:449

    Google Scholar 

  8. Dihlmann W (1985) Joints and vertebral connections. Thieme, New York, p 437

    Google Scholar 

  9. Downey EF Jr, Nason SS, Massoud M, McSweeney WJ (1983) Asymmetrical facet joints: another cause of the sclerotic pedicle. Spine 8:340

    Google Scholar 

  10. Feldman F (1979) Miscellaneous localized conditions: a whirlwind review of the “Oh my aching back syndrome”. Semin Roentgenol 14:58

    Google Scholar 

  11. Freiberger RH (1960) Osteoid osteoma of the spine: a case of backache and scoliosis in children and young adults. Radiology 75:232

    Google Scholar 

  12. Greenfield GB (1986) Radiology of bone diseases, 4th edn. Lippincott, Philadelphia, pp 406, 413, 423, 626

    Google Scholar 

  13. Hadley LA (1946) Congenital absence of pedicle from the cervical vertebra: report of three cases. Am J Roentgenol 55:193

    Google Scholar 

  14. Hadley LA (1955) Bony masses projecting into the spinal canal opposite a break in the neural arch of the fifth lumbar vertebra. J Bone Joint Surg [Am] 37:787

    Google Scholar 

  15. Hart KZ, Brower AC (1977) Unilateral hypertrophy of multiple pedicles. Am J Roentgenol 129:739

    Google Scholar 

  16. Hatlinghus S, Sager M (1982) Tuberous sclerosis: bone and lung changes mimicking metastatic malignancy. Eur J Radiol 2:90

    Google Scholar 

  17. Herman RM, Blount WP (1961) Osteoid osteoma of the lumbar spine. J Bone Joint Surg [Am] 43:568

    Google Scholar 

  18. Juhl JH (1987) Paul and Juhl's essentials of roentgen interpretation, 5th edn. Harper and Row, Philadelphia, p 446

    Google Scholar 

  19. Keim HA, Reina EG (1975) Osteoid osteoma as a cause of scoliosis. J Bone Joint Surg [Am] 57:159

    Google Scholar 

  20. Klein A (1976) Congenital absence of a lumbar vertebral pedicle: a report of three cases. S Afr Med J 50:1795

    Google Scholar 

  21. Kricun ME (1988) Imaging modalities in spinal disorders. Saunders, Philadelphia, pp 96, 97, 143, 207, 414

    Google Scholar 

  22. Maclellan DI, Wilson FC Jr (1967) Osteoid osteoma of the spine: a review of the literature and report of six new cases. J Bone Joint Surg [Am] 49:111

    Google Scholar 

  23. Maldague BE, Malghem JJ (1976) Unilateral arch hypertrophy with spinous process tilt: a sign of arch deficiency. Radiology 121:567

    Google Scholar 

  24. Morin ME, Palacios E (1974) The aplastic hypoplastic lumbar pedicle. Am J Roentgenol 122:639

    Google Scholar 

  25. Mustard WT, DuVal FW (1959) Osteoid osteoma of vertebrae. J Bone Joint Surg [Br] 41:132

    Google Scholar 

  26. Norman WJ, Johnson C (1973) Case report, congenital absence of a pedicle of a lumbar vertebra. Br J Radiol 46:631

    Google Scholar 

  27. Oestreich AE, Crawford AH (1985) Atlas of pediatric orthopedic radiology. Thieme, New York, pp 312, 316

    Google Scholar 

  28. Perrin RL, Palkovitz H, Marquez P (1979) Case report 88: congenital absence of the right pedicle of L4 with compensatory hypertrophy of the contralateral pedicle. Skeletal Radiol 4:51

    Google Scholar 

  29. Resnick D, Niwayama G (1988) Diagnosis of bone and joint disorders, 2nd edn. Saunders, Philadelphia, pp 2138, 2625, 2666, 4033, 4040

    Google Scholar 

  30. Sabanas AO, Bickel WH, Moe JH (1956) Natural history of osteoid osteoma of the spine: review of the literature and report of three cases. Am J Surg 91:880

    Google Scholar 

  31. Segal D, Franchi AV (1986) Congenital absence of lumbar facets as a cause of lower back pain. Spine 11:78

    Google Scholar 

  32. Sherman FC, Wilkinson RH, Hall JE (1977) Reactive sclerosis of a pedicle and spondylolysis in the lumbar spine. J Bone Joint Surg [Am] 59:49

    Google Scholar 

  33. Sty JR, Starshak RJ, Babbitt DP (1980) Bone scintigraphy: the sclerotic pedicle (Wilkinson syndrome). Clin Nucl Med 5:558

    Google Scholar 

  34. Subbarao K (1980) Miscellaneous systemic diseases of bone. AV Radiology of Cincinnati, Series H Cassette VI, Case 8

  35. Sweriduk ST, De Luca SA (1987) The sclerotic pedicle. Am Fam Physician 35:161

    Google Scholar 

  36. Tatler G, Kendall B, Saunders A (1982) Case report 206. Skeletal Radiol 8:311

    Google Scholar 

  37. Teplick JG (1969) Tuberous sclerosis: extensive roentgen findings without the usual clinical picture; a case report. Radiology 93:53

    Google Scholar 

  38. Tomsick TA, Lebowitz ME, Campbell C (1974) The congenital absence of pedicles in the thoracic spine. Radiology 111:587

    Google Scholar 

  39. Wackenheim A (1983) Radiodiagnosis of the vertebrae in adults. Springer, Berlin, Heidelberg, New York, pp 31, 128

    Google Scholar 

  40. Wedge JH, Tchang S, MacFadyen DJ (1981) Computed tomography in localization of osteoid osteoma. Spine 6:423

    Google Scholar 

  41. Wilkinson RH, Hall JE (1974) The sclerotic pedicle: tumor or pseudotumor? Radiology 111:683

    Google Scholar 

  42. Winter PF, Johnson PM, Hilal SK, Feldman F (1977) Scintigraphic detection of osteoid osteoma. Radiology 122:177

    Google Scholar 

  43. Wooten WB, Sumner TE, Crowe JE, Ayala A (1978) Case report 64: Ewing tumor producing sclerosis of the left pedicle of the fourth thoracic vertebra. Skeletal Radiol 3:65

    Google Scholar 

  44. Yochum TR, Albers VL (1982) Osteoblastoma. ACA J Chiro 5:82

    Google Scholar 

  45. Yochum TR, Montilone MS (1981) Case of the missing pedicle. ACA Council on Roentgenol. Roentgen Brief 2:81

    Google Scholar 

  46. Yochum TR, Rowe LJ (1987) Essentials of skeletal radiology. Williams and Wilkins, Baltimore, pp 262, 688, 730, 735, 777, 815, 825, 861, 877, 892

    Google Scholar 

  47. Yousefzadeh DK, El-Khoury GY, Lupetin AR (1982) Congenital aplastic-hypoplastic lumbar pedicle in infants and young children. Skeletal Radiol 7:259

    Google Scholar 

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Authors and Affiliations

  1. Los Angeles Chiropractic College and Rocky Mountain Chiropractic Radiological Center, Denver, Colorado, USA

    T. R. Yochum D.C., D.A.C.B.R.

  2. Department of Radiology, Western States Chiropractic College, Portland, Oregon, USA

    L. T. Sellers D.C., D.A.C.B.R., C. K. Peterson R.N., D.C., D.A.C.B.R., C. W. Kirton D.C., E. C. Dal Mas D.C. & A. L. Anderson D.C., D.A.C.B.R.

  3. Department of Radiology, Boulder Community Hospital, Boulder, Colorado, USA

    D. A. Oppenheimer M.D.

Authors
  1. T. R. Yochum D.C., D.A.C.B.R.
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  2. L. T. Sellers D.C., D.A.C.B.R.
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  3. D. A. Oppenheimer M.D.
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  4. C. K. Peterson R.N., D.C., D.A.C.B.R.
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  5. C. W. Kirton D.C.
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  6. E. C. Dal Mas D.C.
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  7. A. L. Anderson D.C., D.A.C.B.R.
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Yochum, T.R., Sellers, L.T., Oppenheimer, D.A. et al. The sclerotic pedicle — how many causes are there?. Skeletal Radiol. 19, 411–417 (1990). https://doi.org/10.1007/BF00241791

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